How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $5,370.32 Median $8,317.64 Typical High $8,317.64 | Professional | None | $5,370.32 | $8,317.64 | $8,317.64 |
BCBS Alabama Setting Professional Modifier 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 Typical Low $562.34 Median $562.34 Typical High $5,623.41 | Professional | 02 + 10 + 12 + 17 + 21 + 22 · Increased work + 24 · Unrelated visit after surgery + 31 + 32 · Mandated service + 34 + 41 | $562.34 | $562.34 | $5,623.41 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Facility Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | RR · Rental | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,495.41 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $549.54 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,041.74 | $3,311.31 | $4,466.84 |
United Setting Professional Modifier RR · Rental Typical Low $204.17 Median $380.19 Typical High $575.44 | Professional | RR · Rental | $204.17 | $380.19 | $575.44 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $6,309.57 Typical High $6,309.57 | Professional | UE · Used equipment | $3,981.07 | $6,309.57 | $6,309.57 |
Where Alabama sits
The same service costs 11.0 times more in North Dakota than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alabama· 20th of 51
$5,754
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.